Gary Wayne Fannon
ActiveMichigan license 5601006380
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601006380
- Status
- Active
- First issued
- June 19, 2012
- Expires
- June 19, 2029
- License holder
- Gary Wayne Fannon
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons